目的 探讨基于加速康复外科理念(ERAS)的标准化健康教育路径对肝包虫手术患者健康知识水平和治疗依从性的影响.方法 采用方便取样法选取 2020 年 6 月至 12 月新疆医科大学第一附属医院收治的肝包虫手术患者为对照组(n=56),选取 2021 年 1 月至 6 月新疆医科大学第一附属医院收治的肝包虫手术患者为观察组(n=56),对照组采用常规宣教方式开展指导,观察组采用标准化的健康教育路径进行指导,比较两组患者健康知识水平、治疗措施的依从性和满意度.结果 观察组患者围手术期健康知识水平得分高于对照组,差异有统计学意义(P＜0.05);观察组患者治疗措施依从性高于对照组,差异有统计学意义(P＜0.05);观察组患者满意度高于对照组,差异有统计学意义(P＜0.05).结论 基于ERAS的标准化健康教育路径能提高肝包虫病手术患者的健康知识水平,增强患者的治疗依从性,提高护理服务满意度.

目的 探析在肝巨大肿瘤切除术中对患者采用多学科协作的快速康复护理模式的效果.方法 选取我院2019年6月至2020年12月行肝巨大肿瘤切除手术患者72例作为研究对象.按照随机数字表法将患者随机分为观察组(n=36)和对照组(n=36).对照组采用常规护理模式,观察组采用多学科协作的快速康复护理模式.分析比较两组的术后恢复情况、心理状态、生活质量以及护理满意度.结果 观察组的首次肛门排气、首次排便、首次下床活动时间均比对照组显著缩短(P<0.05).观察组护理后的焦虑评分(SAS)、抑郁评分(SDS)均比对

目的:探讨基于BOPPPS教学模式的混合式教学在本科护理教学中的应用效果.方法:选取新疆某高校2019级全日制护理学专业本科生312名作为研究对象,采用随机数字表法将护生分为试验组(139名)、对照组(173名).对照组实施传统教学,试验组借助超星学习平台实施基于BOPPPS教学模式的混合式教学.1个学期后采用学业自我效能感量表、大学生学习投入量表、大学生学习倦怠量表对两组护生进行调查.结果:试验组护生学业自我效能感量表总分及学习能力自我效能感维度得分、学习行为自我效能感维度得分均高于对照组,差异有统计学意义(P<0.05);试验组护生大学生学习投入量表各总分及各维度得分均高于对照组,差异有统计学意义(P<0.05);试验组护生大学生学习倦怠量表总分及情绪低落维度得分、行为不当维度得分低于对照组,差异有统计学意义(P<0.05).结论:基于BOPPPS教学模式的混合式教学可以培养护生自我效能感,激发护生学习兴趣,减轻护生学习倦怠感.

目的 探讨快速康复护理对全膝关节置换病人术后膝关节功能恢复的效果.方法 2018年12月-2019年4月选取新疆某三甲医院72例全膝关节置换术(TKA)患者,随机分为对照组和干预组,各36例,对照组给予常规护理,干预组给予快速康复护理.比较两组患者疼痛评分、美国特种外科医院膝关节(HSS)评分、关节活动度(ROM),术后首次下床时间、直腿抬高时间、导尿管留置时间、住院时间、并发症的差异.结果 干预组在术后2h、6h、1d、2d静息状态疼痛评分明显低于对照组(P＜0.05);干预组患者出院时及术后1个月膝关节HSS评分均明显高于对照组,同时术后3d、出院时及术后1个月ROM均大于对照组,差异具有统计学意义(P＜0.05);干预组首次下床时间、直腿抬高时间、导尿管留置时间、住院时间、并发症的发生率明显低于对照组(P＜0.05).结论 快速康复护理模式可以促进患者术后早期康复、缩短住院时间、提高患者术后膝关节功能恢复效果,具有临床推广价值.

Objective:To explore the application of perioperative nutrition management strategy in patients with hepatic cystic echinococcosis.Methods:From October 2017 to February 2019, 53 patients with hepatic cystic echinococcosis who met the inclusion criteria were selected as the control group. Another 53 patients from June 2018 to January 2019 were collected as the experimental group, the nutritional index, liver function, complication rate and postoperative recovery were compared between the two groups.Results:The levels of retinol-binding protein, prealbumin and transferrin were (24.32 ± 3.76) μg/L, (167.00 ± 24.12) mg/L, (2.08 ± 0.43) μg/L on the day of admission in the experimental group, and one day before the operation were (27.78± 4.98) μg/L, (245.00 ± 22.02) mg/L,(2.47 ± 0.54)μ g/L, there was no significant difference ( t=0.576-3.552, P < 0.05). The incidence of infection, biliary leakage and hemorrhage in the experimental group were 0, 1.89% (1/53) and 0 respectively, which were lower than 9.43% (5/53), 13.21% (7/53), 11.32% (6/53) in the control group ( χ2 value was 4.867, P < 0.05). The aspartate aminotransferase and alanine aminotransferase of the experimental group on the 7th day after operation were (51.50 ± 6.30), (29.54 ± 2.03) U/L, which were significantly different from (69.53 ± 7.07), (43.72±3.67) U/L of the control group ( t value was 2.032, 2.015, P<0.05). Anal exhaust, defecation time, hospitalization time and expenses in the experimental group were (15.89±8.34) h, (49.12±10.56) h, (8.69 ± 1.69) d, (2.84±1.37) thousand yuan, which were significantly different from (34.13±7.13) h, (63.45±11.03) h, (11.51±4.18) d, (3.76±1.53) thousand yuan in the control group. There was statistical significance ( t values were 3.372-12.592, P<0.05). Conclusions:The application of perioperative nutrition management strategy in patients with hepatic cystic echinococcosis can improve the nutritional status of patients during perioperative period, promote the recovery of liver function and reduce the occurrence of postoperative complications.

Objective:To investigate the current status of frailty in elderly patients with fragile hip fractures and analyze its influencing factors.Methods:The clinical data of 196 elderly patients with fragile hip fractures who underwent surgical treatment in 4 Class Ⅲ Grade A hospitals from April to November 2019 were collected. Mini Nutritional Assessment-Short Form (MNA-SF) was used to assess nutritional status, Montreal Cognitive Assessment (MOCA) was used to assess cognitive function, 5-Item Geriatric Depression Scale (GDS-5) and Generalized Anxiety Disorder-7 (GAD-7) were used to assess mental state, Fried Frailty Phenotype (FP) was used to assess the occurrence of frailty of patients and multivariate binary logistic regression analysis was used to explore the influencing factors of frailty in patients.Results:Among the 196 elderly patients with fragile hip fractures, the incidence of frailty and non-frailty were 50.5% (99/196) and 49.5% (97/196) , respectively. There were statistically significant differences in incidence of frailty among elderly patients with fragile hip fractures with different ages, exercise frequency, self-perceived health status, sleep quality, activity of daily living, Charlson comorbidity index (CCI) , nutritional status, depression status assessment, cognitive status assessment and anxiety self-assessment ( P<0.05) . Logistic regression analysis showed that age, self-perceived health status, sleep quality, CCI and nutritional status were the main risk factors affecting the occurrence of fragility in elderly patients with fragile hip fractures ( P<0.05) . Conclusions:In elderly patients with fragile hip fractures, the incidence of frailty is higher, and the main risk factors for frailty are age, self-perceived health, sleep quality, CCI and nutritional status. It is necessary for medical staff to identify frailty patients before surgery and timely adopt interdisciplinary frailty management to reduce and delay the occurrence of frailty and promote the recovery of elderly patients with fragile hip fractures.

目的 了解老年髋部脆性骨折患者衰弱现状,分析其影响因素.方法 采用便利抽样法,选取2019年4—9月乌鲁木齐市4所三级甲等综合医院的老年髋部脆性骨折患者作为研究对象.采用基本资料、衰弱评估问卷、简易微型营养评估量表、简易认知状态量表、简明老年抑郁量表对其进行调查,采用二分类Logistic回归分析老年髋部脆性骨折患者衰弱发生的影响因素.结果 158例老年髋部脆性骨折患者衰弱评分(2.83±0.89)分,其中衰弱评分≥3分(即衰弱组)87例(55.1％),衰弱评分<3分(即非衰弱组)71例(44.9％).二分类Logistic回归分析结果显示:自我感觉健康状态、抑郁、共病状况是老年髋部脆性骨折患者衰弱的危险因素(P<0.05),手握力是老年髋部脆性骨折患者衰弱的保护性因素(P<0.05).结论 老年髋部脆性骨折患者的衰弱检出率较高,自我感觉健康状态较差、抑郁、共病状况、手握力低的老年患者衰弱发生率较高,医护人员尽早识别衰弱患者,加强衰弱管理,减少和延缓老年患者衰弱的发生.

目的 探讨加速康复外科护理在肝囊型包虫病患者围术期护理的实践效果.方法 选择2017年10月～2019年2月新疆医科大学第一附属医院肝胆包虫科患者106例,采用类实验研究方法,将符合纳入标准的肝囊型包虫病患者为研究对象,选择2017年10月～2018年5月的53例患者为对照组;选择2018年6月～2019年2月的53例患者为干预组,比较两组患者术后活动时疼痛评分、生活自理能力评分及术后恢复情况.结果 两组术后不同时点活动时疼痛评分、生活自理能力评分均高于术前,且干预组低于对照组,差异有统计学意义(P＜0.05);两组肛门排气、排便时间、术后首次下床活动时间、住院时间及费用比较,差异有统计学意义(P＜0.05).结论 加速康复外科护理在肝囊型包虫病患者中实践是安全有效的.

目的 以"知-信-行"模式为框架构建快速康复外科理念下全膝关节置换康复护理模式.方法 以"知-信-行"模式为理论基础,采用文献研究及半结构式访谈以及小组讨论构建初级快速康复外科全膝关节置换康复护理模型;运用Delphi法对20名专家进行2轮函询调查,修改与完善初级模型各级指标.结果 2轮函询问卷的有效回收率均为100％;专家权威系数为0.88～0.96,平均权威系数为0.92;专家咨询意见协调度肯德尔和谐系数(W)为0.53;最终确立的康复护理模式包含一级指标3个,二级指标12个,三级指标49个.结论 所构建的快速康复外科全膝关节置换康复护理模式结果可靠,可供全膝关节置换患者护理参考.

目的 调查三级甲等医院女性护士亚健康状态发生情况及其影响因素.方法 采用亚健康状况(SHSQ-25)调查问卷对乌鲁木齐市6所三级甲等医院的护士进行问卷调查.结果 本研究共回收有效问卷989份,其中护士亚健康状态检出率为83.8％,平均得分为49.15±15.26;随着职称的增高、工作年限的增长,护士亚健康状态检出率逐渐递增,以主管护师亚健康状态得分最高,为51.16±15.80,检出率为90.70％;以工作年限16～20年的护士亚健康状态检出率最高为90.30％,得分为50.33±14.74,其OR值为1.37(1.01～1.86);每周加班次数以及每个月夜班次数越多护士亚健康状态检出率越高,OR值分别为1.52(1.07～2.15)、1.26(1.05～1.51).结论 三级甲等医院护士亚健康状态检出率高,年龄越大、职称越高、工作年限越久、夜班及加班次数越频繁,女性护士亚健康状态检出率越高,因此医院管理人员应该有针对性地进行分级、科学、可持续性管理.

目的 探讨新疆地区三级甲等综合医院护士二孩生育意愿及其影响因素.方法 于2017年11月～2018年3月,抽取新疆地区6所三级甲等综合医院(新疆医科大学第一附属医院、新疆维吾尔自治区人民医院、新疆生产建设兵团医院、乌鲁木齐市友谊医院、新疆医科大学第二附属医院、新疆医科大学第五附属医院)639名已生育一胎的护士,利用护士二孩生育意愿调查问卷、工作-家庭冲突(WFC)量表,对新疆地区护士二孩生育意愿及其影响因素进行横断面调查.结果 639名护士的二孩意愿生育率为49.30％,单因素检验结合多因素Logistic回归分析结果显示,新疆地区三级甲等综合医院护士年龄、学历、科室、民族以及基于时间和压力的工作-家庭冲突为影响护士二孩生育意愿的主要因素(P＜0.05).结论 新疆地区三级甲等综合医院护士二孩意愿生育率较低,且来自工作方面的影响对护士二孩生育意愿的影响较为突出,工作与家庭之间的冲突水平越高,二孩生育意愿越弱.